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STATE OF CALIFORNIA HEALTH AND HUMAN SERVICES AGENCY CAL-LEARN NOTICE OF EXEMPTION / DEFERRAL CALIFORNIA DEPARTMENT OF SOCIAL SERVICES ISSUE DATE: CASE NUMBER: WORKER NAME: TO: CASE NAME: WORKER NO.:
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How to fill out cal-learn notice of exemption
How to Fill Out CAL-Learn Notice of Exemption:
01
Start by reading the instructions provided on the CAL-Learn Notice of Exemption form. Familiarize yourself with the purpose of the form and the criteria for eligibility.
02
Identify if you meet any of the qualifying reasons for exemption. The CAL-Learn program is designed for pregnant or parenting teens, so if you no longer meet this eligibility requirement, you may be eligible for an exemption.
03
If you believe you qualify for an exemption, fill out your personal information on the form. This includes your full name, address, phone number, and any other required details.
04
Clearly indicate the reason(s) for your exemption request. Specify whether you are requesting a temporary or permanent exemption and provide any necessary supporting documentation.
05
If you are applying for a temporary exemption, state the duration for which you are seeking the exemption. This could be until a specific date or until your circumstances change.
06
Review the form for accuracy and completeness. Make sure all the required fields are filled out correctly, and attach any supporting documents if required.
07
Sign and date the form to verify your request. Ensure that your signature matches the one on file with the CAL-Learn program.
Who Needs CAL-Learn Notice of Exemption?
01
Pregnant or parenting teens who were previously enrolled in the CAL-Learn program but no longer meet the eligibility requirements.
02
Individuals who can demonstrate valid reasons for exemption such as medical conditions, family emergencies, or other unexpected circumstances.
03
Those who wish to be temporarily or permanently exempted from participating in the CAL-Learn program.
Note: It is advisable to consult with the appropriate CAL-Learn representative or read the program guidelines for specific eligibility criteria and further guidance on filling out the CAL-Learn Notice of Exemption form.
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What is cal-learn notice of exemption?
The Cal-Learn Notice of Exemption is a form used to request exemption from participating in the California Cal-Learn program.
Who is required to file cal-learn notice of exemption?
Pregnant or parenting teenagers under the age of 19 who are recipients of CalWORKs are required to file a Cal-Learn Notice of Exemption.
How to fill out cal-learn notice of exemption?
To fill out the Cal-Learn Notice of Exemption, the applicant must provide information about their pregnancy status, parenting status, and reasons for requesting exemption.
What is the purpose of cal-learn notice of exemption?
The purpose of the Cal-Learn Notice of Exemption is to allow pregnant or parenting teenagers to request exemption from the Cal-Learn program requirements.
What information must be reported on cal-learn notice of exemption?
The Cal-Learn Notice of Exemption requires information about the applicant's pregnancy status, parenting status, and reasons for requesting exemption.
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